[18F] Experiencing mood swings and impulsivity

Patient Description

An 18-year-old female reports experiencing significant mood swings and impulsive behaviors since the age of 7-8. She describes episodes of being hyper and sometimes manic, followed by sudden feelings of sadness and self-consciousness. These shifts in mood and behavior negatively impact her self-image and relationships with friends and family. She often engages in impulsive actions that she later regrets, leading to frequent arguments with her parents. Additionally, she experiences intense emotions in situations that do not warrant such reactions. To manage these feelings, she tends to isolate herself, spending time alone on the internet or sleeping. These episodes can last from 20 minutes to several days.

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Arora's Assessment

What might be happening

Based on what you've described, you might be experiencing symptoms that are sometimes associated with Borderline Personality Disorder (BPD). This condition can involve:

  • Emotional Instability: Rapid changes in mood and emotions.
  • Impulsive Behaviors: Acting without thinking, which can affect relationships.
  • Identity Disturbance: Uncertainty about self-image or values.

It's important to remember that only a mental health professional can provide a diagnosis. They might use therapy sessions and questionnaires to understand your experiences better.

What you can do

  1. Seek Professional Help: Consider talking to a therapist or counselor. They can provide support and guidance.
  2. Self-Care: Engage in activities that help you relax and feel grounded, like journaling, meditation, or exercise.
  3. Track Your Symptoms: Use MDandMe to journal your emotions and triggers. This can help you and your healthcare provider understand patterns.
  4. Educate Yourself: Learn more about emotional regulation techniques and coping strategies.

What you should look out for

  • Worsening Symptoms: If your emotions or behaviors become more intense or frequent, seek help.
  • Impact on Daily Life: If your symptoms interfere significantly with school, work, or relationships, it's important to reach out to a professional.
  • Safety Concerns: If you ever feel overwhelmed or have thoughts of self-harm, contact a mental health professional immediately.

Remember, reaching out for help is a strong and positive step. You're not alone, and support is available.

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2 mo ago


People Also Ask


What are the common symptoms of Borderline Personality Disorder (BPD)?

Common symptoms of BPD include emotional instability, impulsive behaviors, identity disturbance, intense and unstable relationships, and fear of abandonment.


How can impulsive behaviors affect relationships?

Impulsive behaviors can lead to misunderstandings, conflicts, and trust issues in relationships, as actions taken without thinking can hurt others or create instability.


What are some effective self-care strategies for managing intense emotions?

Effective self-care strategies include journaling, meditation, regular exercise, and practicing mindfulness. These activities can help in managing stress and improving emotional regulation.


When should someone seek professional help for mood swings and emotional instability?

Professional help should be sought if mood swings and emotional instability significantly interfere with daily life, relationships, or if there are safety concerns such as thoughts of self-harm.


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